Medullary thyroid carcinoma: a rare presentation as a hypervascular tumour

• Published in: Journal of laryngology and otology Vol. 116; no. 8; pp. 647 - 649
• Main Authors: Li, W. Y., Tomlinson, M. A., Bryson, J. M., Hopkins, N. F. G.
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.08.2002
• Subjects: (RF) Otorhinolaryngology; Arteries; Biological and medical sciences; Biomarkers, Tumor - blood; Calcitonin; Calcitonin - blood; Carcinoma, Medullary - blood; Carcinoma, Medullary - blood supply; Carcinoma, Medullary - diagnostic imaging; Endocrinopathies; Goiter, Nodular - blood; Goiter, Nodular - complications; Humans; Lymphatic Metastasis; Male; Malignant tumors; Medical sciences; Middle Aged; Neck Dissection; Superior; Superior Vena Cava Syndrome - etiology; Thyroid Gland - blood supply; Thyroid Neoplasms; Thyroid Neoplasms - blood; Thyroid Neoplasms - blood supply; Thyroid Neoplasms - diagnostic imaging; Thyroid. Thyroid axis (diseases); Thyroidectomy; Tomography, X-Ray Computed; Vascular Neoplasms; Vena Cava; Thyroid Neoplasms; Vascular Neoplasms; Vena Cava, Superior; Calcitonin; Endocrinopathy; Case study; Human; Hypervascularization; Thyroid diseases; Medullary carcinoma; Thyroid gland; Malignant tumor
• ISSN: 0022-2151; 1748-5460
• DOI: 10.1258/00222150260171704

Sporadic medullary thyroid carcinoma (MTC) usually presents with a thyroid mass, cervical lymphadenopathy or other local cervical symptoms. Often the diagnosis is unsuspected pre-operatively. We report a unique case of a mixed follicular medullary thyroid carcinoma presenting as a tumour with extreme vascularity. The management of hypervascular thyroid tumours is discussed together with current controversies regarding persistent hypercalcitoninaemia.